Sunday, December 12, 2010

Lumbar Spondylosis


Lumbar Spondylosis

Spondylosis is a deterioration that affect the lumbar spine but can also affect the cervical and thoracic spine.
As the body goes through changes, normally from old age, the spine degenerates. The margin between discs in the lumbar vertebrae becomes constricted which can bring about tingling, numbness, and pain that appear to emit out from the area. These indicators are the reaction of force on the nerves as they leave the spinal cord.

If the degeneration is permitted to advance, it can cause insufficient space of the spinal canal. With this limited space, it can produce impingement of the spinal canal which can create an unsteady walk, deficient bladder control and other serious nerve problems. With Lumbar Spondylosis, osteophytes form
which is excess bone growth that is mainly seen around the anterior, lateral, and less often at the posterior side of the superior and inferior borders of the vertebral bodies.

Generally Spondylosis is identified with a manual exam and x-rays of the spine. Sometimes a neurological exam is performed to establish if there are problems in the spinal canal that might be caused by spondylosis.

Treatment can be determined once the doctor evaluates how seriousness of the spondylosis and the patients age. There are several treatments that can be used to control the pain such as nonsteroidal anti-inflammatory drugs, acupuncture, osteopathic manipulative medicine, trigger-point therapy, massage, chiropractic and osteopathic care. Surgery can be performed to take out the osteophytes or occasionally sections of the intervertebral disc are routinely removed to try and ease the compression on the adjoining nerve roots and possibly the spinal cord. If a patients age is in question it may not be worth it the risk of surgery.




Sunday, December 5, 2010

Schmorl's Node in the Throacic Spine


Schmorl's Node

Schmorl's node is described as a herniation of the spinal disc's soft tissue into the bony tissue of the adjoining vertebrae. Schmorl's node is a lesion considered to be linked with trauma, frequently located in the thoracic and lumbar vertebrae, however there is a chance that the node can be a congenital defect of the vertebral end-plate. Schmorl's nodes are usually the start of degenerative-disc disease. X-rays are used to diagnose this spinal defect.

A physical exam will show soreness directly over the concerned vertebrae. Schmorl's nodes typically cause no symptoms nevertheless an inflammatory response can take place producing severe pain. Generally the patient cannot remember what they did to cause the pain. Not requiring substantial medical care, rest and spinal manipulation are usually required to alleviate the pain. Oral supplements can assist elasticity and non-steroidal anti-inflammatory drugs can relieve pain and swelling. If the discs need repaired, advanced Arthroscopic surgery can be performed to relieve nerves that are crushed.

(Image shows Schmorl's node at T11 and T12)